Cruz, Ellagene Elizabeth

Cruz, Ellagene Elizabeth is an individual health care provider with primary practice located at 1602 Sw 82Nd St , Lawton OK 73505-9012. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Cruz, Ellagene Elizabeth can be contacted via phone (580) 536-0077.

Contact Information

Primary practice address
1602 Sw 82Nd St Lawton OK 73505-9012
Phone: (580) 536-0077
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 50933 Oklahoma

Profile Details

NPI number 1063758027
LBN Legal business name Cruz, Ellagene Elizabeth
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2012
Last updated Dec 19th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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